Traumatic Choroidal Rupture: A Case Report

目的：因頭部鈍傷所造成之眼球挫傷可能導致脈絡膜破裂。本病例報告一位18歲左眼脈絡膜破裂之病人，並使用螢光血管攝影與光學同調斷層掃描術(Optical Coherence Topography)做佐證。
方法：病例報告。
摘要：一位18歲男孩自車禍造成頭部外傷後出現左眼中央盲點，之後伴隨有視力模糊的情況。眼底檢查結果發現一白色條狀裂痕跨過黃斑部。螢光血管攝影檢查於病灶處出現顯影劑有局部增強的現象。光學同調斷層掃描術可見病灶處的視網膜色素上皮層與脈絡膜微血管叢有增厚並凸起合併有視網膜感光細胞外層消失的情形。
結論：頭部外傷合併眼球挫傷可能會造成脈絡膜破裂。因此在所有影響到眼部的頭部鈍傷病人，完整而詳盡的眼底檢查與後續追蹤是必要的。光學同調斷層掃描術可助於判讀視網膜色素上皮層與網膜感光細胞層之結構性改變。

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並列摘要

Purpose: Ocular blunt trauma from head injuries may cause choroidal rupture of the eye. We report an 18-year-old male patient who had choroidal rupture of the left eye.
Case report: An 18-year-old male patient started to experience symptom of central scotoma after a head injury from a traffic accident. After the symptom subsided, he began to have blurred vision of the left eye. The finding of the funduscopic examination showed a linear white streak crossing the macula. Fluorescein angiographic examination revealed focal hyperfluorescence corresponding to the site of the lesion. The result of the optical coherence tomographic study demonstrated thickening and protrusion of the retinal pigment epithelium and choriocapillaris complexes with loss of photoreceptor outer segment associated with the lesion.
Conclusion: Blunt ocular trauma associated with head injury may cause the choroid rupture. Patients with blunt head injuries with ocular involvement should receive complete ophthalmic examinations including funduscopic examination and clinic follow-up. Imaging examination by optical coherence tomography may also help detect the structural changes in the retinal pigment epithelium and the photoreceptor complex.

並列關鍵字

choroidal rupture ； optical coherence tomography ； choroidal neovascularization

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Traumatic Choroidal Rupture: A Case Report

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